Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $8,511.38 / $15,135.61	Facility		$3,801.89	$8,511.38	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $8,511.38	Professional		$3,801.89	$4,466.84	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $7,943.28 / $21,379.62	Professional		$4,073.80	$7,943.28	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $12,302.69 / $19,498.45	Facility		$10,471.29	$12,302.69	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $16,218.10 / $18,620.87	Professional		$6,606.93	$16,218.10	$18,620.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,762.47 / $13,489.63	Facility		$4,466.84	$7,762.47	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $10,232.93 / $12,589.25	Professional		$7,244.36	$10,232.93	$12,589.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $9,549.93	Facility		$2,691.53	$4,786.30	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $31,622.78	Professional		$4,786.30	$7,762.47	$31,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,754.40	Professional		$32.36	$33.11	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $10,715.19 / $17,782.79	Professional		$5,495.41	$10,715.19	$17,782.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $79,432.82 / $79,432.82	Facility		$10,471.29	$79,432.82	$79,432.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $20,417.38 / $31,622.78	Professional		$7,585.78	$20,417.38	$31,622.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Professional		$14,454.40	$14,454.40	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $23,988.33 / $28,840.32	Professional		$13,803.84	$23,988.33	$28,840.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,760.83 / $18,197.01	Professional		$4,168.69	$6,760.83	$18,197.01